Louisiana Tech University Faculty Concern Form
Please use this form to convey any academic or non-academic concerns about a student.
Relation to the Student:
Course (if applicable):
CWID or Student UserID
Concerns (Please Check All That Apply).
is not attending class regularly
Is routinely late for class and/or routinely leaves class early
is disruptive or rude in class
neglects to finish and/or turn in assigned work.
is routinely not prepared for class
requires study skills assistance.
is having difficulty with career decisions.
Is not utilizing the services of the Bulldog Achievement Resource Center (BARC) or other academic support services as prescribed.
has a housing/roommate concern.
is having difficulty adapting socially.
could benefit from substance use/abuse education.
is allowing extra-curricular activity to interfere with academic progress.
cannot find extra-curricular activities that meet his/her interests.
Personal problems (family members, home, etc.) appear to be interfering with social and academic development.
Student has expressed extreme concern with financial issues.
Any other additional information that would be helpful in assisting this student?
Would you like to remain anonymous to the student?
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